Individual
DR. SHERENA ANN PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O., M.A.
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-1615
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MRO-1341
ID
207R00000X
Internal Medicine Physician
Primary
O-0929
ID
Other
Enumeration date
03/19/2013
Last updated
06/27/2022
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